How much rates vary
Facilitymedian $550 · 10th to 90th $316 to $1,202Professionalmedian $513 · 10th to 90th $229 to $832
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $1,122.02 | Professional | None | $281.84 | $398.11 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $912.01 | Facility | None | $549.54 | $630.96 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $549.54 Typical High $691.83 | Professional | None | $263.03 | $549.54 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $1,122.02 Typical High $1,348.96 | Facility | None | $316.23 | $1,122.02 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $1,047.13 | Professional | None | $229.09 | $346.74 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $549.54 Typical High $630.96 | Facility | None | $134.90 | $549.54 | $630.96 |
DeanCare Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $812.83 | Professional | None | $549.54 | $776.25 | $812.83 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $549.54 Typical High $2,187.76 | Facility | None | $263.03 | $549.54 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $707.95 | Professional | None | $194.98 | $316.23 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Network Health Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $954.99 | Professional | None | $389.05 | $512.86 | $954.99 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $549.54 Typical High $630.96 | Facility | None | $134.90 | $549.54 | $630.96 |
Prevea360 Setting Professional Modifier None Typical Low $309.03 Median $537.03 Typical High $549.54 | Professional | None | $309.03 | $537.03 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $1,047.13 | Professional | None | $457.09 | $676.08 | $1,047.13 |
Quartz Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | None | $229.09 | $229.09 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | None | $436.52 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $676.08 | Facility | None | $245.47 | $269.15 | $676.08 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $467.74 | Professional | None | $181.97 | $269.15 | $467.74 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $660.69 | Professional | 52 · Reduced service | $199.53 | $199.53 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $263.03 | Professional | 53 · Discontinued | $79.43 | $79.43 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $199.53 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $131.83 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $131.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $162.18 | Professional | RR · Rental | $25.12 | $25.12 | $162.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $162.18 | $190.55 | $190.55 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 3rd of 51
$513
HI $589AZ $229
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.